Articles tagged "Allocation"

2020 American Transplant Congress
Predicting Kidney Allograft Discard: The Kidney Discard Risk Index
M. B. Price, M. Joshi, T. Zhang, J. Vierling, T. Galvan, R. Cotton, C. O'Mahony, J. Goss, A. Rana
Michael E. DeBakey Department of Surgery, Division of Abdominal Transplantation, Baylor College of Medicine, Houston, TX
*Purpose: The disparity between the supply and demand for kidney allografts is exacerbated by an 18.9% discard rate. It is our aim to determine predictors…
2020 American Transplant Congress
Successful Heart Utilization and Outcomes with Long-Distance Transport of Deceased Donor Hearts: One Large Organ Procurement Organization’s Five-Year Experience
D. Adorno, C. Wells, K. O'Connor
LifeCenter Northwest, Bellevue, WA
*Purpose: Long-distance transport of deceased donor hearts has been associated with reduced organ utilization rates and risk of inferior outcomes. One U.S. Organ Procurement Organization’s…
2020 American Transplant Congress
Domino Transplantation – Expanding the Liver Donor Pool to the Pediatric Recipient
U. Ekong¹, N. Yazigi¹, K. Khan¹, S. Kaufman¹, K. Chapman², E. Leon², N. Ah Mew², A. Kroemer¹, R. Girlanda¹, J. Hawksworth¹, C. Matsumoto¹, T. Fishbein¹
¹MedStar Georgetown Transplant Institute, Washington, DC, ²Genetics, Children's National Hospital, Washington, DC
*Purpose: Background: Maple syrup urine disease (MSUD) is an inherited autosomal recessive metabolic disorder of amino acid metabolism, caused by a defect of the branched-chain…
2020 American Transplant Congress
Enhancing Kidney Allograft Decision Making: An Organ Offer Simulation Study
J. Mansy¹, J. Case¹, D. Stewart², H. McGehee², K. Lindblad², R. Schaffer¹, J. Fisher¹, J. Rice¹, S. Kurian¹, C. Marsh¹
¹Scripps Center for Organ and Cell Transplantation, La Jolla, CA, ²United Network for Organ Sharing Research Department, Richmond, VA
*Purpose: This study was designed to identify opportunities to improve UNOS organ allocation as well as providers’ decision-making process for cadaveric kidney offers. Using its…
2020 American Transplant Congress
Donor Lung Travel Distance and Time
C. Lehr¹, M. Skeans², M. Valapour¹, E. Lease³
¹Cleveland Clinic, Cleveland, OH, ²SRTR, Minneapolis, MN, ³University of Washington, Seattle, WA
*Purpose: With the policy change from donation service area (DSA) to 250 nautical miles (NM) as the first unit of US lung allocation, distances between…
2020 American Transplant Congress
Estimating the Potential Pool of Uncontrolled DCD Donors in the United States
B. J. Boyarsky, K. R. Jackson, A. B. Kernodle, J. V. Sakran, J. M. Garonzik Wang, S. E. Ottmann, D. L. Segev
Johns Hopkins, Baltimore, MD
*Purpose: In contrast to donation after brain death (DBD), donation after circulatory death (DCD) involves recovery of organs from people with devastating neurologic injury who…
2020 American Transplant Congress
Utilization of Kidneys from Deceased Donors with Positive Hepatitis C Nucleic Acid Amplification Testing (HCV NAT+)
K. L. King, S. A. Husain, S. Mohan
Columbia University, New York, NY
*Purpose: With modern direct-acting antiviral agents, transplantation of kidneys from HCV NAT+ deceased donors for recipients with or without HCV has expanded the kidney supply.…
2020 American Transplant Congress
The Centers for Medicare and Medicaid Services’ Proposed Metrics for Recertification of Organ Procurement Organizations: Evaluation by the Scientific Registry of Transplant Recipients
J. Snyder¹, D. Musgrove¹, D. Zaun¹, A. Wey¹, N. Salkowski¹, J. Rosendale², A. Israni¹, R. Hirose³, B. Kasiske¹
¹SRTR, Minneapolis, MN, ²UNOS, Richmond, VA, ³Department of Surgery, Univ of California, San Francisco, San Francisco, CA
*Purpose: On December 23, 2019, the US Centers for Medicare and Medicaid Services proposed two new standards that organ procurement organizations (OPOs) must meet for…
2020 American Transplant Congress
Reducing Travel While Improving Geographic Equity: Continuous Distribution with “Gravity Functions”
M. Mankowski¹, N. Wood², S. Gentry², D. Segev³
¹King Abdullah University of Science and Technology, Thuwal, Saudi Arabia, ²US Naval Academy, Annapolis, MD, ³Johns Hopkins University, Baltimore, MD
*Purpose: Recently, the OPTN board selected the continuous distribution framework for future organ allocation changes. Continuous distribution allocates organs without geographic boundaries, for example, by…
2020 American Transplant Congress
One Year of the OPTN’s SLK Allocation Policy
A. Wilk¹, R. Formica², A. Wiseman³, R. Hirose⁴, D. Mulligan², D. Stewart¹
¹United Network for Organ Sharing, Richmond, VA, ²Yale School of Medicine, New Haven, CT, ³Univ of Colorado School of Medicine, Aurora, CO, ⁴UCSF, San Francisco, CA
*Purpose: Simultaneous Liver-Kidney (SLK) allocation policy went into effect on 8/10/17, establishing medical eligibility criteria for adult SLK candidates and creating a “Safety Net” for…